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1003442773
VICKI LYNNE WALTER
TYLER, TX
NPI
1003442773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2032191)
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
VICKI LYNNE WALTER PTA
701 OLYMPIC PLAZA CIR
TYLER, TX 75701-1950
Phone number: 903-596-3119
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Mailing Address
VICKI LYNNE WALTER PTA
4231 STONEBROOK LN
TYLER, TX 75707-5475
Phone number:
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